SAVE THE DATE

FOR A RECEPTION AND DINNER FOR

GOVERNOR TIM PAWLENTY
WEDNESDAY, MAY 18

VIP PHOTO RECEPTION: 5:30P.M.-6:30P.M.

DINNER: 6:30P.M.

INTERNATIONAL MARKET SQUARE

275 MARKET STREET
MINNEAPOLIS, MINNESOTA

VIP RECEPTION AND DINNER: $2,500/PERSON OR $5,000/COUPLE

DINNER ONLY: $1,000/PERSON OR $2,000/COUPLE

TO RSVP, PLEASE CONTACT TRISHA HAMM

Phone: (651)777-3314
Email: thamm@timpawlenty.com

Follow Governor Pawlenty: www.timpawlenty.com www.facebook.com/timpawlenty www.twitter.com/timpawlenty

Paid for by Pawlenty for President Exploratory Committee

 Yes, please reserve ____ VIP photo reception tickets at $2,500 per person or $5,000/couple.
 Yes, please reserve ____ dinner tickets at $1,000 per person or $2,000/couple.

Name: Spouse/Guest:

Unfortunately, I am unable to participate but am enclosing a contribution in the amount of:

Individual:  $5,000  $2,500  $1,000  $500  Other __________

Couple:  $10,000  $5,000  $2,000  $1,000  Other __________

PAYMENT INFORMATION
Please make checks payable to “Pawlenty for President Exploratory Committee”
Please send checks to: To securely fax or email your information:
Pawlenty for President Exploratory Committee, C/O Trisha Hamm Fax: 651-846-6225
2495 Ryan Avenue E. Email: thamm@timpawlenty.com
St. Paul, MN 55109 To donate by phone: 651-777-3314

Contributions by Personal Credit Card:

Name on Card:

Card #: Exp. Date:

Signature: Spouse Signature:

(required for all joint contributions)

CONTRIBUTOR INFORMATION
Each contributor must provide a name, address, employer and occupation.

Contributor: Referred By:

Address:

City: State: Zip:

Telephone Number: Fax Number:

E-Mail Address:

Employer: Occupation:

Spouse’s Employer: Spouse’s Occupation:

(if joint contribution) (if joint contribution)
Contributions to Pawlenty for President Exploratory Committee are not tax deductible for federal income tax purposes. Contributions
to Pawlenty for President Exploratory Committee will be used in connection with federal elections and are subject to the limitations
and prohibitions of federal law. The maximum an individual may contribute is $2,500 for the primary election and an additional
$2,500 for the general election. Couples may contribute up to $5,000 for each election; joint contributions require the signature of
both spouses. Federal multicandidate PACs may contribute up to $5,000 for each election. Contributions from corporations, foreign
nationals, and federal government contractors are prohibited. Contributions must be made from personal funds and may not be
reimbursed by any other person. Federal law requires us to use our best efforts to obtain and report the name, mailing address,
occupation, and name of employer for each individual whose contributions aggregate in excess of $200 in an election cycle.
Follow Governor Pawlenty: www.timpawlenty.com www.facebook.com/timpawlenty www.twitter.com/timpawlenty

Paid for by Pawlenty for President Exploratory Committee